How much water are you getting in? That might be the start of a nasty back up if you know what I mean. Our bodies need so much water to process all the protein. Without sounding gross or asking for TMI, are your BM's normal when you have them? Could be an intolerance to the carbohydrates. There wasn't so much protein in that meal you mentioned. Also, I would think that eating a grilled cheese and then eating soup (liquid) with it might cause food to push through the pouch too quickly. I have not waited long enough after a meal before drinking a few times and had some nausea and discomfort from it. At any rate, hope it gets better and I'd definitely talk to my team (surgeon, NUT) to get to the bottom of it. Best wishes on your journey ;) Hope you feel better.

I've managed about 60g of protein today. I worked a 12 hour shift. I can't tolerate milk but cheese is fine. As far as soup I only dipped the grilled cheese in it.

My surgeon told me to take two senna a day typically I'm pretty regular, so I only take it PRN. Going to take the senna tonight and see what happens. I had issues with an ulcer, but none in quite a while.

I agree with what the other posters said. Just wanted to add my two cents re: a stomach bug. I had one last week, and it took me awhile to figure out that it was a bug. For me the key was that I felt sick...like flu-ish sick. You know, achy along with stomach pain, nausea and throwing up. And after a a few days I felt a bit better. My only point being that it can be hard to figure out is it a pouch issue versus a whole boy issue that is also affecting my pouch. I lost 2 extra pounds, though!! Hope you feel better!

My husband had a few periods of time at 7, 8 and 9 months where nothing sat well in his pouch except warm liquids and protein shakes. You might want to dial it back on 'chew food' and go to a more liquid/slider diet and see if that helps.

Hope to see you Wed at group! :)

HW333--SW 289--GW of 160 5' 11" woman. I only know the way I know & when you ask for input/advice, you'll get the way I've been successful through my surgeon & nutritionist. Please consult your surgeon & nutritionist for how to do it their way. Biggest regret? Not doing this 10 years ago! Every day is better than the day before...and it was a pretty great day!

Senna - please be careful with that - Easier on the guts can be miralax. Senna -is going to stimulate the bowels and can cause a lot of cramping - sometimes painful - specially if you severely constipated... Miralax will be much less painful.. it will increase water concentration in your guts - making it more "runny" and easy to evacuate... (sometimes too easy - like - "don't trust a fart")

H.a.l.a RNY 5/14/2008

Need to bitch? or Rave? To find new R&R - 3.0 group..- send a PM - to get included...

That's how I feel when I'm constipated. It took me some time to realize the correlation between the nausea and BM. I actually have to take MoM daily, if I skip a day the next day I start feeling how you describe minus the vomiting as for some reason I can no longer vomit.

As far as senna, my surgeon said two a day was okay. I on the other hand only take it if I go two days with no BM. I have been regular since about three months post op. I don't do miralax period. MOM was my next go to if the senna didn't work!

Thanks everyone for all your advice and suggestions!!
I love being able to come here and people share their experience with similar issues!!